<wicket:panel>

<h3>Account Information</h3>

<table>
  <tr>
    <td>First name:</td><td><input type="text" wicket:id="firstName"/></td>
  </tr><tr>
  <td>Last name:</td><td><input type="text" wicket:id="lastName"/></td>
</tr><tr>
  <td>Email:</td><td><input type="text" wicket:id="email"/></td>
</tr><tr>
  <td>Phone:</td><td><input type="text" wicket:id="phone"/></td>
</tr><tr>
  <td>Address 1:</td><td><input type="text" wicket:id="address1"/></td>
</tr><tr>
  <td>Address 2:</td><td><input type="text" wicket:id="address2"/></td>
</tr><tr>
  <td>City:</td><td><input type="text" wicket:id="city"/></td>
</tr><tr>
  <td>State:</td><td><input type="text" wicket:id="state"/></td>
</tr><tr>
  <td>Zip:</td><td><input type="text" wicket:id="zip"/></td>
</tr><tr>
  <td>Country:</td><td><input type="text" wicket:id="country"/></td>
</tr>
</table>

<h3>Profile Information</h3>

<table>
  <tr>
    <td>Language Preference:</td><td>
    <select wicket:id="languagePreference"></select></td>
  </tr><tr>
  <td>Favourite Category:</td><td>
  <select wicket:id="favouriteCategoryId"></select></td>
</tr><tr>
  <td>Enable MyList</td><td><input type="checkbox" wicket:id="listOption"/></td>
</tr><tr>
  <td>Enable MyBanner</td><td><input type="checkbox" wicket:id="bannerOption"/></td>
</tr>

</table>

</wicket:panel>